Advanced Practice Provider: Complex Geriatric Care
About The Position
The Advanced Practice Provider (APP) on Devoted Health’s Gold Care team delivers whole-person clinical, social, and logistical support to members with complex chronic conditions, frail elders, and patients at high risk of hospital admission. Working within a collaborative, multidisciplinary team, the APP reinforces and adjusts each patient’s care plan based on the patient’s priorities, clinical status, and barriers to care. The role manages patients’ clinical trajectories, including symptom and chronic disease management and changes to clinical plans. The APP provides care to a cohort of complex patients across multiple geographies, primarily through video telehealth and in coordination with an interdisciplinary care team. The position includes comprehensive assessments and diagnosis and medication reviews, post-acute transition support, and assessment for quality-of-care interventions and social, home-health, and durable medical equipment needs. The APP coordinates with primary care providers, specialists, other Devoted teams, family members, and caregivers. Infrequent telehealth visits outside the APP’s panel or weekend on-call support may be needed. The role also requires maintaining accurate records and complying with applicable laws, regulations, professional standards, privacy requirements, and telehealth rules.
Requirements
- Active, clear RN and APRN or Physician Assistant license in Alabama, Arizona, Colorado, Ohio, and/or Texas at hire, maintained during employment; willingness to obtain and maintain multiple state licenses.
- At least three years of experience working as an advanced practice provider in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care.
- Proficiency with telehealth technology and electronic health records (EHR).
- Active BLS certification at hire, maintained during employment.
Nice To Haves
- Virtual care experience and a strong desire to continue clinical nursing practice and conduct virtual visits.
- Experience providing clinical care in collaboration with interdisciplinary teams.
- Experience caring for complex, frail, or vulnerable populations, including in a skilled nursing facility setting.
- Team-oriented approach, continuous-improvement mindset, and can-do attitude.
- Experience in a fast-paced, high-energy organization.
- Ability to adapt quickly and remain flexible as workflows change.
- English and Spanish proficiency preferred but not required.
Responsibilities
- Deliver care to a cohort of complex patients across multiple geographies using video telehealth and an interdisciplinary team.
- Guide and oversee patients’ medical management using the 5M framework during their time in Gold Care.
- Coordinate care with patients’ primary care providers, specialists, Devoted teams such as pharmacy or specialty care, and patients’ family members and caregivers.
- Perform comprehensive assessment visits, post-acute transition support, comprehensive diagnosis and disease reviews, and medication reviews.
- Assess patients for quality-of-care (Stars/HEDIS) interventions and social, home-health, and durable medical equipment needs.
- When appropriate and compliant with NP licensure, provide infrequent telehealth visits to members outside the assigned panel to support other Devoted Medical service lines.
- Provide infrequent weekend on-call support for clinical nurses triaging member calls as the program grows.
- Maintain accurate, up-to-date patient medical records in compliance with legal and ethical guidelines.
- Follow applicable laws, regulations, industry standards, patient privacy requirements, and telehealth regulations.
Benefits
- Employer-sponsored health, dental, and vision plans with low or no premiums.
- Generous paid time off.
- $100 monthly mobile or internet stipend.
- Stock options for all employees.
- Bonus eligibility for roles below Director level; commission eligibility for Sales roles.
- Parental leave program.
- 401(k) program.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
